Using a Decision-Support Smartphone application to enhance Community Health Volunteers’ effectiveness in reducing Maternal complications and reducing Newborn Deaths in the informal settlements of Nairobi, Kenya, Community Health Volunteers’ Decision Suppo
Routine Health Management Information System (HMIS)+ CHV monthly reports:
data from the preceding 12 months to determine whether there was a change in service utilization levels for ANC, PNC, delivery at the five health facilities, as well as admissions for premature and low birth weight, and sick newborns will be reviewed. From the various data sources we will also determine the number of adverse maternal and newborn outcomes such as emergency referrals for severe maternal complications, stillbirths, and neonatal deaths. HMIS data from the selected health facilities will be collated and quantitatively analysed to estimate attendance rates, case management practices against guidelines and uptake of different MNH services, referral patterns especially with regard to two-way referral by CHVs.
Woman file contains background information of women of reproductive age (pregnant and/or with children 1 year). The file has details of their date of birth, ethnicity, religion livelihood and number of children.
The file also has information on family planning capturing the method known to the woman, if ever used, the currently method using (not pregnant), where they got the FP (facility).
Pregnancy and birth history details; this sections contains data from women who are preganant, the number pergnancies they have had and number of live/dead children they had. It also contains data on the ante natal clinic ANC; when they first visited the ANC, services offered at the clinic and who assisted them at the clinic.
Delivery and postnatal care contains data of where they plan to deliver the baby/or where they delivered the baby, and also captures information on when they delivered their youngest child. On postnatal it has data on complications during delivery, the kind of complication, if woman suffered any danger signs and how soon after discharge they were visited by CHVs.
Morbidity and mortality captures data on the new born, any complication, breastfeeding, any symptoms, CHVs roles, vaccinations and details of the child's death from, when where the baby died, complications that the baby developed, breastfeed details, symptoms in the first week of life and the vaccination the baby had received.